John David Gutterman II, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12013138A Issued in IN

Practice address

2037 Church St
Dyer, IN 46311-1729

Phone

(219) 865-5040

NPI assigned

May 17, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dyer Dental Professionals, Inc.

  dba Tambrini Family Dentistry

  • Dental Clinic/Center
  • Dyer, IN
  • NPI 1174799845
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1679139356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10904 N LOWER LAKE SHORE DR",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608135",
            "telephone_number": "765-427-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 CHURCH ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111729",
            "telephone_number": "219-865-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10140 Indianapolis Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463223643",
            "country_code": "US",
            "telephone_number": "219-885-9278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTTERMAN",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013138A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Griffin
• Growing Minds ABA, LLC
• Howard O Grundy, MD
• Mateo Guanzon, M.D.
• Nitin Gupta, DO
• Hancock Regional Hospital (Great Lakes Healthcare Center)
• Jasmine Hardison
• Ian L Hardy, PTA
• Nina Hartman, LMHC
• Raelene S Harvey, OT

• Dentist in Dyer, IN
• Providers in Dyer, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.